SOAP Note- General

[date name="variable_1" default="05/25/2020"]

Subjective:

[textarea name="variable_1" default="sample text"]

Objective:

Gen:

[checklist name="variable_1" value="Well nourished|Well Developed|NAD|Mild Distress|Ill appearing|Anxious"]

HEENT:

[checklist name="variable_1" value="PERRLA|Pharynx clear|TM Clear Bilaterally|Right TM clear|Left TM Clear| Right TM Erythematous|With pus|without pus|With Fluid|withoutFluid| Left TM Erythematous |With Pus|Without Pus|With Fluid|Without Fluid|Pharyngeal exudate|Pharyngeal Vesicles"]
[text name="variable_1" default=""]

CV:

[checklist name="variable_1" value="RRR|No m/r/g| Systolic Murmur|Diastolic Murmur|tachycardia|bradycardia"]
[text name="variable_1" default=""]

Pulm:

[checklist name="variable_1" value="CTAB|No w/r/r|Wheezing|Bilateral|left|right|rhonci|bilateral|Right|Left|prolonged expiratory phase"]
[textarea name="variable_1" default=""]

Abdomen:

[checklist name="variable_1" value="Soft|NT/ND | tight|masses present|Liver WNL"]
[textarea name="variable_1" default=""]

Neurological:

[checklist name="variable_1" value="=Grossly intact |Tendons 2+ Bilaterally|No peripheral neuropathy"]
[textarea name="variable_1" default=""]

GYN:

[textarea name="variable_1" default=""]

Psych
[checklist name="variable_1" value="Appropriate Affect |Not anxious|Not Depressed| Anxious| Depressed"]

Assessment and Plan:

[textarea name="variable_1" default=""]

[select name="variable_1" value="Wellness|Diabetes |HTN|HLD|Otitis Media|Strep throat|Viral URI|Psoriasis| Ingrown Toenail|Dermatology lesion"]

[textarea name="variable_1" default=""]

[select name="variable_1" value="Wellness|Diabetes |HTN|HLD|Otitis Media|Strep throat|Viral URI|Psoriasis| Ingrown Toenail|Dermatology lesion"]

[textarea name="variable_1" default=""]

[select name="variable_1" value="Wellness|Diabetes |HTN|HLD|Otitis Media|Strep throat|Viral URI|Psoriasis| Ingrown Toenail|Dermatology lesion"]

[textarea name="variable_1" default=""]


Follow Up: